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Image of interview subject from blog post with title "What Is MBCT? An Interview with a Mindfulness Expert"

Back in May, I met Sophie Lazarus, PhD when I was about to start a seven-day meditation retreat. It started out as a simple conversation about our mindfulness practices. When the topic of work came up, I realized I had met an expert on mindfulness-based cognitive therapy.

As you will learn if you keep reading, MBCT is a treatment program rooted in mindfulness that can help people who have experienced anxiety and depression. It’s not as well-known in the United States as other programs, like mindfulness-based stress reduction (MBSR) so I asked Dr. Lazarus to explain more here. Read on to learn more about the program and for other helpful resources.

Q: Tell me about yourself and your work as it relates to mindfulness-based cognitive therapy?

I live and work in Columbus, Ohio, though I am originally from the East Coast. Outside of work, I love reading, spending time in nature, traveling, and connecting with friends and family.

My journey with mindfulness began in 2009 during graduate school and deepened in 2014 when I started practicing in the insight meditation tradition. I’m a clinical psychologist and currently serve as an Associate Professor at The Ohio State University Wexner Medical Center. I lead the Mindfulness-Based Programs for Resilience and Well-Being and am a faculty member within our Depression Recovery Center.

In my role, I develop programs, conduct research on MBCT and other treatments for depression, supervise and train PhD students, and provide care for individuals experiencing mood and anxiety disorders. I trained as an MBCT teacher through UC San Diego in 2018 and have since expanded my training to include MBCT-L (Mindfulness for Life) and workplace mindfulness through the Oxford Mindfulness Foundation. I’m also the author of Mindfulness Meditations for Depression: Practices for Cultivating Self-Compassion and Insight.

Q: What is Mindfulness-Based Cognitive Therapy (MBCT)

Mindfulness-Based Cognitive Therapy (MBCT) is an eight-week, group-based intervention designed for individuals who experience recurrent depression, anxiety, or chronic unhappiness. It integrates cognitive therapy techniques with mindfulness practices to help people become more aware of the thought patterns and habits that contribute to emotional distress.

By cultivating this awareness, participants learn to relate to their experiences with greater kindness and wisdom, supporting long-term well-being. MBCT is best suited for individuals who are not currently in the midst of a severe depressive or anxious episode and are ready to focus on relapse prevention and staying well.

Q: How does MBCT compare to other kinds of mindfulness programs like MBSR?

MBCT was originally modeled after Mindfulness-Based Stress Reduction (MBSR), but tailored specifically for individuals dealing with depression and anxiety. Researchers recognized that while existing treatments were effective, many people still experienced relapse. Mindfulness offered a promising approach to address this specific vulnerability.

MBCT incorporates core elements of MBSR but adds specific practices and psychoeducation to help participants understand the nature of depression and anxiety. It teaches skills to work wisely with the mental habits—such as rumination and avoidance—that often accompany these conditions.

Image with quote from blog post explaining what mindfulness-based cognitive therapy (MBCT) is

Q: Does MBCT offer any specific advantages for lawyers or other professionals?

Absolutely. MBCT can be particularly beneficial for conscientious, high-achieving professionals—such as lawyers—who often operate with high standards, perfectionism, and self-critical thinking. While these traits can drive success, they may also make it harder to cope with internal challenges like disappointment or loss, especially when those experiences can’t be “solved” in the usual way.

MBCT helps individuals recognize these patterns and develop a more compassionate and balanced way of relating to themselves, which can be transformative both personally and professionally.

Q: What are you most excited for people to know about MBCT?

MBCT is backed by strong research evidence that has accumulated over many years. It significantly reduces the risk of relapse in depression and is included in national treatment guidelines in both the UK and the U.S. (APA). Given the profound impact of depression on individuals, families, and society, I’m passionate about making MBCT more widely available to those who could benefit.

Q: How can people interested in mindfulness learn more about MBCT or access the program?

We offer MBCT through the Department of Psychiatry and Behavioral Health at Ohio State. Groups are available both in-person and virtually, making them accessible to anyone in Ohio—and in other PSYPACT-participating states. To learn more or register for MBCT and other mindfulness-based programs for resilience and well-being, visit our website.

You can also find trusted MBCT providers internationally through this directory.

Want to learn more about mindfulness and compassion? Check out my new book, How to Be a Badass Lawyer, for a simple guide to creating a meditation practice of your own in 30 days. And to share mindfulness with your little one, check out my new children’s book, Mommy Needs a Minute.

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Today is an important day in the United States, we now have a national, dedicated hotline for individuals to call for mental health emergencies. In the case of fire, severe physical injury, or crime, most of us wouldn’t hesitate to say “call 911.” Mental health situations may be different, however, and may require a response from trained professionals other than traditional first responders. Starting today, we can now call 988 for such situations.

What happens when you call 988? The program connects you immediately with a trained mental health professional. This is significant because anyone who has experienced any kind of mental health situation knows that there is almost always a waiting period to begin care. Moreover, like any other professional, counselors, therapists, and other mental health providers usually work during normal business hours. Though we have existing emergency services, like fire, EMTs, and police, those officials are not always trained to provide care for mental health needs.

With the new 988 lifeline, anyone who is experiencing a mental health emergency can now receive immediate help. There is also a chat function available at 988lifeline.org that will allow individuals another means of connecting to help. In addition, the website offers resources to help those of us who may be supporting a loved one experiencing a mental health emergency. It even offers a resource for helping someone you may know less well from social media.

In addition to providing a support for people in need during a mental health emergency, another aspect of the lifeline is normalizing seeking help. The 988 lifeline has media kits and logos for public use and a hashtag #Bethe1To to spread the word about suicide prevention. It also has a collection of stories of hope and recovery from those who have experienced suicidal thoughts or mental health challenges in the past and tools to help those who wish to share their own story. As someone who has written about my own mental health challenges, these are powerful tools for individual healing, building community, reducing shame and stigma, and spreading awareness.

Having experienced mental health challenges myself, I have experienced how hard it can be to recognize symptoms in yourself and to seek out help. For this reason, it is essential to have a lifeline, supports, and education available to empower communities to promote and protect mental health. I am glad that this new tool exists to support lawyers, professionals, and the entire community in the United States with mental health emergencies. Please help spread the word about it.